Individual
DR. WILLIAM M LETSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1988 TAMIAMI TRL S, VENICE, FL 34293-5001
(941) 497-7700
(941) 493-3703
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME49074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064403000
—
FL
01
—
11402
BLUE CROSS BLUE SHIELD
FL
01
—
1193359
WELLCARE
FL
01
—
P00463263
RAILROAD MEDICARE
FL
Enumeration date
04/18/2007
Last updated
05/06/2016
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